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Individual

LEONARD JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5240 E GALBRAITH RD, SUITE B, CINCINNATI, OH 45236-2877
(513) 745-9787
(513) 745-9789
Mailing address
5535 FAIR LN, SUITE C, CINCINNATI, OH 45227-3434
(513) 221-5274
(513) 961-5100

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35030761
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133993
OH
Enumeration date
07/13/2006
Last updated
12/31/2013
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